U of M Study Links EHRs, Providers | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

U of M Study Links EHRs, Providers

November 4, 2014
by Rajiv Leventhal
| Reprints

Data from electronic health records (EHRs) has long been used to identify trends among patients, but a new study from a University of Michigan professor has found that found that EHRs can also be used to link patient outcomes with individual providers.

The study, led by health economist and University of Michigan School of Nursing associate professor Dr. Olga Yakusheva, to be published in Health Services Research, focused on nurses and used electronic data on 1,203 staff nurses matched with 7,318 adult medical-surgical patients discharged between July 2011 and December 2011 from an urban Magnet-designated, 854-bed teaching hospital.

The findings suggest that the ability to use EHRs for measuring individual performance of providers, whose contributions to patient outcomes are often invisible, like nurses, opens the possibility for development of performance metrics, performance-based rankings, and merit-based salary schemes to improve patient outcomes and reduce costs.

Principal findings were that nurse effects were jointly significant and explained 7.9 percent of variance in patient clinical condition change during hospitalization. Nurse value-added (NVA) was positively associated with having a baccalaureate degree or higher and expertise level. NVA contributed to patient outcomes of shorter length of stay and lower costs.

“Nurses—like all health professionals—differ in their value-added to patient outcomes,” Dr. Yakusheva said, based on the study’s findings. She and her co-authors concluded: “The ability to measure individual nurse relative value-added opens the possibility for development of performance metrics, performance-based rankings, and merit-based salary schemes to improve patient outcomes and reduce costs.”

Topics

News

Dignity Health, CHI Merging to Form New Catholic Health System

Catholic Health Initiatives (CHI), based in Englewood, Colorado, and San Francisco-based Dignity Health officially announced they are merging and have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system.

HHS Announces Winning Solutions in Opioid Code-a-Thon

The U.S. Department of Health and Human Services (HHS) hosted this week a first-of-its-kind two-day Code-a-Thon to use data and technology to develop new solutions to address the opioid epidemic.

In GAO Report, More Concern over VA VistA Modernization Project

A recent Government Accountability Office (GAO) report is calling into question the more than $1 billion that has been spent to modernize the Department of Veterans Affairs' (VA) health IT system.

Lawmakers Introduce Legislation Aimed at Improving Medicare ACO Program

U.S. Representatives Peter Welch (D-VT) and Rep. Diane Black (R-TN) have introduced H.R. 4580, the ACO Improvement Act of 2017 that makes changes to the Medicare accountable care organization (ACO) program.

Humana Develops Medication Management Tool

A new tool developed by Humana enables the company’s members to keep a list of their medications in one place.

Four Hospitals Piloting OurNotes Initiative in 2018

Beginning in January, four academic hospitals—Beth Israel Deaconess Medical Center in Boston, University of Washington in Seattle, Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire and University of Colorado in Boulder—will begin piloting a new digital tool called OurNotes that enables patients to contribute to their clinical notes.